By Judith H. Deglia, April H. Vallerand
ISBN-10: 0803621396
ISBN-13: 9780803621398
Fast entry to the entire crucial scientific details you wish! Drawing at the content material of its best-selling guardian reference, Davis's Drug consultant for Nurses, it presents crucial details on over a hundred and seventy most sensible drugs typically prescribed in acute and ambulatory care, together with high-alert and emergency medications! quick locate content material on sufferer safety—with important details on pediatric and geriatric considerations—as good as precautions for all weak populations.
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Extra resources for Med Notes: Pocket Drug Guide
Example text
Advance needle 1-2 mm † aspirate subcutaneous tissue/muscle † infiltrate small amount anesthetic 6. Repeating step 5 † “walk” needle above rib’s superior edge and advance through ICS until † pleural space 7. Hold needle perpendicular to chest † avoid trauma to neurovascular bundle of adjacent rib 8. When enter pleural space (may feel “pop”), aspirate fluid to ensure pleural space reached 9. Withdraw needle (grasp with thumb and index finger) 10. , missed area) 11. Air bubbles † enter lung parenchyma (too high) 12.
Qxd 9/12/08 3:38 PM Page 39 39 ■ ■ ■ ■ ■ ■ Skin preparation solution and sterile drapes No. 11 scalpel blade with handle Sterile gauze and tape Hemostat, scissors Packing strip (plain or iodoform, 1/2”) Culture swab Preparation ■ Universal precautions; prepare skin and sterile drapes ■ Infiltrate local anesthetic, allow 2–3 minutes for anesthetic to take effect Patient Positioning ■ Depends on abscess location Technique ■ Cut through skin into abscess w/wide incision (No. 11 blade); incision should follow skin fold lines ■ Allow pus to drain; soak up w/gauzes ■ Swab inside abscess cavity (culture swab) ■ Gently explore cavity w/hemostat, break up loculations ■ Pack abscess cavity; dress wound w/gauze and tape ■ May send pus for Gram stain and culture (commonly streptococcus, staphylococcus, or enterics (perianal), or anaerobic and gram-negatives.
Hold needle perpendicular to chest † avoid trauma to neurovascular bundle of adjacent rib 8. When enter pleural space (may feel “pop”), aspirate fluid to ensure pleural space reached 9. Withdraw needle (grasp with thumb and index finger) 10. , missed area) 11. Air bubbles † enter lung parenchyma (too high) 12. qxd 9/12/08 3:38 PM Page 27 27 Patient Positioning ■ Upright or decubitus, neck flexed Technique ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Turn on suction apparatus (w/tonsil tip attached) Pt. should hold emesis basin and cup of water Insert tube in nostril toward occiput Apply firm, constant pressure to tube while pt.
Med Notes: Pocket Drug Guide by Judith H. Deglia, April H. Vallerand
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